Active NPI
Sunny Kim
- Pharmacist
- Tucson, AZ
National Provider Identifier
1972932358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020220
- Practice address
- 2854 N Campbell Ave
Tucson, AZ 85719-2811 - Phone
- (520) 327-6767
- Fax
- (520) 321-1368
- NPI assigned
- Nov 5, 2013
- Last updated
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020220 | AZ | Primary |
Addresses
Primary practice location
2854 N Campbell Ave
Tucson, AZ 85719-2811
Mailing address
115 W Limberlost Dr Apt 3203
Tucson, AZ 85705-2784
Phone (520) 730-8401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020220 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1972932358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W LIMBERLOST DR APT 3203",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857052784",
"telephone_number": "520-730-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192811",
"telephone_number": "520-327-6767",
"fax_number": "520-321-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.